Individual provider · Type 1 NPI

Jacob W. Wilson, LCSW

Clinical Social Worker · Nampa, ID

NPI number 1114286648 Active

Practice location

824 S Diamond St
Nampa, ID 83686-5960

Call (208) 812-4999 Map

Fax (208) 634-4055

Mailing address

PO Box 2553
Mccall, ID 83638-2553

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW30132 (ID)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114286648

Jacob W. Wilson, LCSW's National Provider Identifier is 1114286648, issued on May 3, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nampa, ID. The record was last updated on Jul 12, 2023.